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Table 1 Comparison of viral and Bordetella pathogen detection rate among cohorts of patients with different tests ordered by clinicians

From: Comparison of molecular detection methods for pertussis in children during a state-wide outbreak

 

Cohort 1: pertussis PCR alone

N = 584 (% positive)

Cohort 2: viral PCR alone

N = 3071 (% positive)

Cohort 3: dual tested

N = 490 (% positive)

p value

Median age

3 years

2 years

0.54 years

<0.001

Age range

6 days–21 years

3 days–21 years

2 days–20 years

NA

Patient age <24 months

240 (41 %)

1268 (41 %)

369 (75 %)

<0.001

Bordetella pathogen detection by LD-PCR (%)

n = 21 (3.6 %), including 3 B. parapertussis a

NA

n = 22 (4.5 %), including 2 B. parapertussis a

0.5

B. pertussis detection by RM-PCR (%)

NA

n = 4 (0.1 %)

n = 24 (4.9 %)

<0.001

Combined detection by both RM-PCR and LD-PCR: n (%)

NA

NA

n = 27 (5.5 %), including 2 B. parapertussis a

NA

Organism isolation by culture: n (% of culture positive over detection by LD-PCR)

n = 14 (14/21 or 66.7 %), including 2 B. parapertussis a

NA

n = 10 (10/22 or 45.5 %), including one B. parapertussis a

0.16

Rate of viral positive detection: n (%)

NA

1988 (64.6 %)

367 (74.8 %)

<0.001

Rate of viral positive in patients age < 24 months: n/n (%)

NA

840/1268 (66.2 %)

290/369 (78.6 %)

<0.001

Flu A

NA

164 (5.3)

17 (3.5)

<0.001 (combined Flu A and B rates)

Flu B

NA

360 (11.7)

30 (6.1)

PIV 1-4

NA

83 (2.7)

33 (6.7)

<0.001

RSV

NA

433 (14.1)

124 (25.3)

<0.001

HMPV

NA

186 (6.0)

35 (7.1)

0.4

AdV

NA

88 (2.9)

17 (3.5)

0.5

RhV

NA

741 (24.1)

143 (29.2)

0.02

CoV

NA

111 (3.6)

24 (4.9)

0.17

2–3 Viruses

NA

170 (5.5)

54 (11.0)

<0.001

  1. an: includes B. parapertussis